PG2 - UCSF Radiation Oncology - University of California, San ...

University of California, San Francisco,
Department of Radiation Oncology
Residency Training Program
PGY-2 Resident Elective Rotation
UCSF (Long-Parnassus) Clinical Elective Goals and Objectives
Daphne Haas-Kogan, M.D.
Professionalism
PGY-2 residents will:
• Demonstrate sensitivity and responsiveness to patients’ culture, age,
gender, sexual orientation and disabilities
• Demonstrate commitment to ethical principles regarding provisions or
withholding of medical care, patient confidentiality and informed consent
• Function well as a member of a team and be respectful of co-workers and
referring physicians
• Maintain comprehensive, accurate and timely medical records
• Demonstrate they are reliable in carrying out orders from the attending
physician
Practice-Based Learning and Improvement
• Demonstrate ability to use information technology and feedback to
improve their fund of knowledge and skills and contribute to patient care
Interpersonal Skills and Communication
Patient Care
• Communicate with patients and their families/caregivers in an easily
understood and culturally sensitive manner including the use of
professional interpreters when needed
• Maintain patient confidentiality
• Communicate with other physicians, and health care providers
• Maintain accurate and timely medical records

• Participate in planning and carrying out simulations for treatment planning
• Learn about different types of immobilization (e.g., head masks) and
setups for treatment
• Participate in treatment verification & port films
• Consider palliative vs. curative therapy Participate in planning and
carrying out simulations
• Participate in drawing accurate tumor volumes and tissue constraints
• Perform initial history and physical examinations noting all pertinent
findings and begin to formulate strategies for care and management
• Monitor patients under treatment with the attending
• Alert the attending to any new problems of a patient undergoing treatment
or workup in the department
• See follow-up patients with the attending
System-Based Learning
Medical Knowledge
• Understand how patient care affects other health professionals and the
health care organization.
• Coordinate medical care with other health care providers involved in the
patient’s treatment
• Learn fundamental principles related to dosing for different tumor types &
sites
• Understand the dose limits of normal tissues and the expected
complications of radiation of different sites
• Participate in the planning of various techniques, including:
i. 2-dimensional
ii. 3-dimensional conformal radiotherapy (3DCRT)
iii. Intensity-modulated radiation therapy (IMRT)
iv. CyberKnife Radiosurgery
v. High-dose rate implants

vi. Permanent seed implants for prostate cancer
• Participate in the planning of various techniques, including:
vii. CNS
viii. Head and neck
ix. Breast
x. Lung
xi. GI-esophagus, stomach, rectal, anal
xii. GYN-endometrial, cervix, vulva
xiii. Sarcoma
xiv. Bone tumors
xv. Lymphoma
xvi. Brain metastases
xvii. Bone metastases
• Demonstrate the ability to logically formulate treatment management
decisions
• Demonstrate an understanding of normal tissue tolerance to radiation
• Demonstrate an understanding of the use of photons, electrons, 3D and
IMRT in treatment planning
• Demonstrate an understanding of side effects of radiation therapy
• Participate and demonstrate an understanding of the Simulation Process